目的 比较健康人及偏瘫患者以自选的最为舒适的速度行走时,两者行走速度不同的程度,从而判断在中风后偏瘫患者“行走速度的自选”是否是测试行走功能的一个可靠指标,并分析其与其它功能性测试之间的相关程度。 方法 18名中风1年以上的偏瘫患者,均参加过正规康复训练(平均4.9月),所有患者都能在室内行走,其中有6名需用手杖。受试者中无严重的不稳定临床情况,无感知、认知障碍包括记忆缺陷或其它可能影响步态的障碍。另以11名健康人为对照组。患者及对照组每隔2min以自选的舒适速度走30m,共走4次,用秒表记录总30m及中间10m段的行走时间,取其平均数。2h后重复一次,测试都 Objective To compare the different walking speeds of healthy and hemiplegic patients when walking at the most comfortable speed of their own choice so as to determine whether the “self-selection of walking speed” in patients with hemiplegia after stroke is a reliable indicator to test the walking function and analyze Its relevance to other functional tests. Methods Eighteen patients with hemiplegia who had suffered more than one year of stroke were enrolled in regular rehabilitation training (average 4.9 months). All patients were able to walk indoors. Six of them needed walking sticks. Subjects did not have severe clinical instability and no perception of cognitive impairment, including memory deficits or other disorders that could affect gait. Another 11 healthy people as control group. Patients and control groups every 2min walk at a comfortable speed of choice for 30m, a total of 4 times, with a stopwatch record total 30m and 10m walking time in the middle, whichever is the average. Repeat after 2h, test all